ATI RN
ATI Pharmacology Final Exam 1 Questions
Extract:
Question 1 of 5
A client is receiving doxorubicin as part of treatment for ovarian cancer. Which of these is a possible adverse effect of doxorubicin?
Correct Answer: D
Rationale: Doxorubicin damages heart muscles, leading to cardiotoxicity.
Question 2 of 5
A client has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
Correct Answer: B
Rationale: Iron supplements improve hemoglobin synthesis, enhancing oxygen transport and activity tolerance.
Question 3 of 5
A client is receiving high doses of methotrexate and is experiencing severe bone marrow suppression. The nurse expects which intervention to be ordered with this drug to reduce this problem?
Correct Answer: B
Rationale: Methotrexate is a dihydrofolate reductase inhibitor which inhibits synthesis of building blocks for DNA synthesis and repair. Leucovorin rescue helps mitigate bone marrow suppression.
Question 4 of 5
When evaluating a client's use of a metered-dose inhaler (MDI), the nurse notes that the client is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
Correct Answer: A
Rationale: A spacer connects the MDI and the mouth containing any medication exhaled eliminating the need for the coordination.
Question 5 of 5
A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?
Correct Answer: A
Rationale: Methotrexate can cause bone marrow suppression, leading to low platelet counts and bleeding risks.